The patient is a Risser 4. The characteristics of the curve are a rigid right thoracic curve, a significantly rotated lumbar curve with a significant thoracolumbar kyphosis measuring 30°.

Bending Films:

On the right-sided lumbar side bending the patient displays neutrality as the midline bisects Harrington neutral vertebral rotation between the L3-4 disk. The thoracic right side bending is structural to about 36 degrees. Left side bending shows a significant flexibility of the lumbar component which reduces to approximately 20 degrees the apex L2-3 is still rotated and does not neutralize until the L3-4 disk.